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1508558271
ESAI OMAR FONSECA
EDINBURG, TX
NPI
1508558271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
ESAI OMAR FONSECA
1201 W UNIVERSITY DR
EDINBURG, TX 78539-2909
Phone number: 956-665-7049
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Mailing Address
ESAI OMAR FONSECA
1201 W UNIVERSITY DR
EDINBURG, TX 78539-2909
Phone number: 956-665-7049
Copy
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